Physician
219 Health Network, INC.
219 Health Network, INC. was paid $462K by Medicaid between Aug 2021 and Dec 2024, across 30 billing codes. Its largest line is 99213, doctor's office visit, returning patient (routine) — 28% of everything it billed.
33Billing provider info219 HEALTH NETWORK, INC.
EAST CHICAGO, IN 46312
EAST CHICAGO, IN 46312
33aNPI1811562374assigned 05/26/2021
33bProvider typeInternal Medicine Physician
28Total paid$462K
24GClaims17,029
24DCodes billed30
24AFirst – last monthAug 2021 – Dec 2024
Compared with peers
Next to other Internal Medicine Physician providers in Indiana
Rank by total paid#55 of 316
Median peer was paid$17K
This provider vs. median27×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Auditor's notes
Automated statistical signals. Not evidence of fraud — how these are computed.
Entity ProliferationAuthorized official CORTES, WILLIAM controls 20+ related entities in our dataset. Read more
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 368 | $10K | |
| 2022 | 778 | $19K | |
| 2023 | 3,457 | $94K | |
| 2024incomplete | 12,426 | $338K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 28% | 2,016 | 1,819 | $131K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | 12% | 668 | 633 | $55K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | 12% | 623 | 593 | $54K |
| T1015 | A visit at a community health center or clinic (one all-in rate)Clinic visit/encounter, all-inclusive | 11% | 5,304 | 4,720 | $53K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | 11% | 657 | 547 | $51K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | 7.8% | 412 | 391 | $36K |
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 6.4% | 583 | 427 | $30K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | 4.6% | 1,715 | 1,508 | $21K |
| 90472 | Immunization administration, each additional vaccine (list separately) | 3.8% | 917 | 848 | $17K |
| 99204 | Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity | 1.2% | 81 | 65 | $5K |
| 83655 | <1% | 252 | 239 | $3K | |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 252 | 223 | $2K |
18 more codes
| 90474 | <1% | 91 | $1K | |
| G0467 | Community health center visit, returning patient | <1% | 90 | $821.50 |
| 90651 | <1% | 105 | $602.24 | |
| 85018 | <1% | 252 | $531.47 | |
| 90656 | <1% | 232 | $230.54 | |
| 96372 | Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular | <1% | 35 | $226.61 |
| 90686 | <1% | 334 | $181.11 | |
| 90620 | <1% | 50 | $9.78 | |
| 90734 | 0% | 84 | $0.00 | |
| 90633 | 0% | 144 | $0.00 | |
| 3078F | 0% | 722 | $0.00 | |
| 90671 | 0% | 374 | $0.00 | |
| 90710 | 0% | 46 | $0.00 | |
| 90681 | 0% | 28 | $0.00 | |
| 90715 | 0% | 28 | $0.00 | |
| 3074F | 0% | 770 | $0.00 | |
| 90697 | 0% | 134 | $0.00 | |
| 90698 | 0% | 30 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialCORTES, WILLIAM (EXECUTIVE DIRECTOR)
| Provider | Location | Paid |
|---|---|---|
| 219 Health Network INC | East Chicago, IN | $2.70M |
| 219 Health Network INC | East Chicago, IN | $2.59M |
| 219 Health Network, INC. | East Chicago, IN | $1.26M |
| 219 Health Network INC | East Chicago, IN | $932K |
| 219 Health Network INC | Highland, IN | $794K |
| 219 Health Network, INC. | East Chicago, IN | $708K |
| 219 Health Network INC | East Chicago, IN | $646K |
| 219 Health Network, INC. | Crown Point, IN | $505K |
| 219 Health Network, INC. | Munster, IN | $327K |
| 219 Health Network, INC. | Munster, IN | $258K |
| 219 Health Network, INC. | Munster, IN | $144K |
| 219 Health Network, INC. | Cedar Lake, IN | $129K |
| 219 Health Network, INC. | Highland, IN | $126K |
| 219 Health Network, INC. | Hobart, IN | $97K |
| 219 Health Network, INC. | Hobart, IN | $92K |
| 219 Health Network, INC. | Munster, IN | $64K |
| 219 Health Network, INC. | Valparaiso, IN | $52K |
| 219 Health Network, INC. | Munster, IN | $33K |
| 219 Health Network, INC. | Munster, IN | $26K |
| 219 Health Network INC | East Chicago, IN | $20K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.